Carrillo ER, Galván TY

Language: Spanish
References: 23
Page: 187-194
PDF size: 356.95 Kb.

ABSTRACT

The use of ultrasonography (USG) is a daily practice in the intensive care unit (ICU). USG Has been used in the assessment of diaphragm anatomy and kinetics. Ultrasound provides a simple, non-invasive method of quantifying diaphragmatic movement in a variety of normal and pathological conditions in the critically ill. USG can assess the characteristics of diaphragmatic movement, special patterns of motion and changes in diaphragmatic thickness during respiration. This parameters can provide information in the assessment and follow-up of different scenarios like patient-ventilator interactions and weaning. The aim of this paper is to review the physiology of the diaphragm, its ultrasonographic evaluation and the application of this technique in the critically ill.

REFERENCES

1. Matamis D, Soilemezi E, Tsagourias M, Akoumianaki E, Dimassi S, Boroli F, et al. Sonographic evaluation of the diaphragm in critically ill patients. Technique and clinical applications. Intensive Care Med. 2013;39:801-810.

2. Epstein SK. An overview on respiratory muscle function. Clin Chest Med. 1995;155:619-639.

3. Grassino A, Clanton T. Respiratory muscle fatigue. Semin Respir Med. 1991;12:305-321.

4. Schweickert WD, Hall J. ICU-acquired weakness. Chest. 2007;131:1541-1549.

5. Jaber S, Petrof BJ, Jung B, Chanques G, Berthet JP, Rabuel C, et al. Rapidly progressive diaphragmatic weakness and injury during mechanical ventilation in humans. Am J Respir Crit Care Med. 2011;183:364-371.

6. Levine S, Nguyen T, Taylor N, Friscia ME, Budak MT, Rothenberg P. Rapid disuse atrophy of diaphragm fibers in mechanically ventilated humans. N Engl J Med. 2008;358:1327-1335.

7. Shanely RA, Zergeroglu MA, Lennon SL, Sugiura T, Yimlamai T, Enns D, et al. Mechanical ventilation-induced diaphragmatic atrophy is associated with oxidative injury and increased proteolytic activity. Am J Respir Crit Care Med. 2002;166:1369-1374.

8. Hussain SN, Vassilakopoulos T. Ventilator-induced cachexia. Am J Respir Crit Care Med. 2006;166:1307-1308.

9. Knisely AS, Leal SM, Singer DB. Abnormalities of diaphragmatic muscle in neonates with ventilated lungs. J Pediatric. 1988;113:1074-1077.

10. Geiger PC, Cody MJ, Macken RL, Sieck GC. Maximum specific force depends on myosin heavy chain content in rat diaphragm muscle fibers. J Appl Physiol. 2000;89:695-703.

11. Petrof BJ, Jaber S, Matecki S. Ventilator-induced diaphragmatic dysfunction. Curr Opin Crit Care. 2010;16:19-25.

12. Boussuges A, Gole Y, Blanc P. Diaphragmatic motion studied by m-mode ultrasonography: methods, reproducibility, and normal values. Chest. 2009;135:391-400.

13. Kim WY, Suh HJ, Hong SB, Koh Y, Lim CM. Diaphragm dysfunction assessed by ultrasonography: influence on weaning from mechanical ventilation. Crit Care Med. 2011;39:2627-2630.

14. Vivier E, Mekontso DA, Dimassi S, Vargas F, Lyazidi A, Thille AW, et al. Diaphragm ultrasonography to estimate the work of breathing during non-invasive ventilation. Intensive Care Med. 2012;38:796-803.

15. Cohn D, Benditt JO, Eveloff S, McCool FD. Diaphragm thickening during inspiration. J Appl Physiol. 1997;83:291-296.

16. Jiang JR, Tsai TH, Jerng JS, Yu CJ, Wu HD, Yang PC. Ultrasonographic evaluation of liver/spleen movements and extubation outcome. Chest. 2004;126:179-185.

17. Lerolle N, Guerot E, Dimassi S, Zegdi R, Faisy C, Fagon JY, et al. Ultrasonographic diagnostic criterion for severe diaphragmatic dysfunction after cardiac surgery. Chest. 2009;135:401-407.

18. Gilbert R, Auchincloss JH Jr, Peppi D. Relationship of rib cage and abdomen motion to diaphragm function during quiet breathing. Chest. 1981;80:607-612.

19. Coirault CCD, Lecarpentier Y. Relaxation of diaphragm muscle. J Appl Physiol. 1999;87:1243-1252.

20. Scillia P, Cappello M, De Troyer A. Determinants of diaphragm motion in unilateral diaphragmatic paralysis. J Appl Physiol. 2004;96:96-100.

21. Kolar P, Sulc J, Kyncl M, Sanda J, Neuwirth J, Bokarius AV. Stabilizing function of the diaphragm: dynamic MRI and synchronized spirometric assessment. J Appl Physiol. 2010;109:1064-1071.

22. Houston JG, Fleet M, Cowan MD, McMillan NC. Comparison of ultrasound with fluoroscopy in the assessment of suspected hemidiaphragmatic movement abnormality. Clin Radiol. 1995;50:95-98.

23. Yoshioka Y, Ohwada A, Sekiya M, Takahashi F, Ueki J, Fukuchi Y. Ultrasonographic evaluation of the diaphragm in patients with amyotrophic lateral sclerosis. Respirology. 2007;12:304-307.